Dysphagia with a spark
DOI:
https://doi.org/10.32818/reccmi.a1n1a2Keywords:
esophageal bolus, food bolus obstruction, carbonated beverages, dysphagia, bronchoaspiration, endoscopyAbstract
An 81-year-old woman is admitted to Neurosurgery with a severe subarachnoid haemorrhage. She develops mixed dysphagia related to neurological sequelae and the presence of a tracheostomy.
An endoscopic study is performed for the placement of a gastrostomy feeding tube showing oesophageal food impactation of a dense material occupying at least half the length of the oesophagus. Poor lung performance made unfeasible the extraction of this material.
Removal of the tracheostomy recovered swallowing in our patient and we started her on oral Coca-Cola™ 330 ml daily. A new endoscopic study performed after 4 days showed a normal mucosa of the oesophagus and stomach and de disappearance of the impacted bolus. The patient was discharged eating a normal diet 6 days later.
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Gretarsdottir HM, Jonasson JG, Björnsson ES. Etiology and management of esophageal food impaction: a population based study. Scand J Gastroenterol. 2015 May; 50(5): 513-8. doi: https://doi.org/10.3109/00365521.2014.983159. Epub 2015 Feb 22.
Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastrointest Endosc. 2001 Feb; 53(2): 193-8.
Morishita M, Mori S, Yamagami S, Mizutani M. Effect of carbonated beverages on pharyngeal swallowing in young individuals and elderly inpatients. Dysphagia. 2014 Apr; 29(2): 213-22. doi: https://doi.org/10.1007/s00455-013-9493-6. Epub 2013 Oct 30.
Hamoui N, Lord RV, Hagen JA, Theisen J, Demeester TR, Crookes PF. Response of the lower esophageal sphincter to gastric distention by carbonated beverages. J Gastrointest Surg. 2006 Jun; 10(6): 870-7.
Mohammed SH, Hegedüs V. Dislodgement of impacted oesophageal foreign bodies with carbonated beverages. Clin Radiol. 1986 Nov; 37(6): 589-92.
Karanjia ND, Rees M. The use of Coca-Cola in the management of bolus obstruction in benign oesophageal stricture. Ann R Coll Surg Engl. 1993 Mar; 75(2): 94-5.
Lee J, Anderson R. Best evidence topic report. Effervescent agents for oesophageal food bolus impaction. Emerg Med J. 2005 Feb; 22(2): 123-4.
Leopard D, Fishpool S, Winter S. The management of oesophageal soft food bolus obstruction: a systematic review. Ann R Coll Surg Engl. 2011 Sep; 93(6): 441-4. doi: https://doi.org/10.1308/003588411X588090.
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Copyright (c) 2016 Javier Marco-Martínez, José Luis García-Klepzig, Andrea López-Salcedo, Alberto Trondin, Manuel Méndez-Bailón
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